J Bone Metab.  2020 Aug;27(3):187-199. 10.11005/jbm.2020.27.3.187.

What is the Role of Coordinators in the Secondary Fracture Prevention Program?

  • 1Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea
  • 2Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea
  • 3Department of Preventive Medicine and Institute of Health Sciences, Gyeongsang National University Hospital, Jinju, Korea
  • 4Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea


The purpose of this study is to search for reports on the clinical effectiveness of FLS being implemented worldwide through the systematic review, analyze the roles of coordinators in each study, and provide basic data for the development of future coordinator education programs.
A systematic search of the literature using the Medline, PubMed, and EMBASE databases and the Cochrane Library was conducted for using the following keywords: ‘osteoporosis’ AND ‘fractures’ AND ’secondary prevention’. Finally, 65 studies are included in this study.
At the coordinator-based fracture liaison service (FLS) center, the coordinator (often a nurse) acts as a central player in the establishing of patient connections, orthopedic surgeons, radiologists, and attending physicians. Coordinators help bridge the nursing gap by supporting identification, investigation, initiation of treatment, and patient follow-up. Medics has opened the way to effectively manage patients at high risk of developing another fracture. In addition, nurses are in a unique and important role as nurses responsible for enhancing their daily lives by building relationships with patients and families.
The coordinator in the FLS program plays an important role in the multidisciplinary management of vulnerable fractures, as well as in the diagnosis and treatment of osteoporosis and in maintaining continuity of treatment. In the future, the broader role of coordinators should be systematically organized and developed into accredited educational programs.


Nurses · Osteoporotic fractures · Secondary prevention
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